Individual
DR. MATTHEW DAVID KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
29001 CEDAR RD, SUITE 404, LYNDHURST, OH 44124-4062
(440) 646-1133
(440) 646-1335
Mailing address
29001 CEDAR RD, SUITE 404, LYNDHURST, OH 44124-4062
(440) 646-1133
(440) 646-1335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
023309
OH
Other
Enumeration date
08/02/2010
Last updated
09/27/2013
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